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Alcohol Use Disorders Identification Test (AUDIT)

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36 Pages
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Remote Order Entry System (ROES) Technical Manual Version 3.0 October 2003 Department of Veterans Affairs VistA Health Systems Design and Development Revision History Date Description Author September 16, 2003 Format manual and input revisions Loren Behuniak September 18, 2003 Revised format ak October 20, 2003 Revised base on NVS input Loren Behuniak Remote Order Entry System Version 3.0 Technical Manual Preface Purpose of the Remote Order Entry System The Remote Order Entry System Version 3.0 (ROES 3.0) gives authorized end users at VHA facilities the ability to order products and services from the VA Denver Distribution Center (DDC). Scope of Manual This manual provides instructions for the installation and maintenance of the ROES 3.0 software. Audience The information in this manual is intended for Information Resource Management (IRM) staff. However it may also be helpful to: National VistA Support (NVS), System Design & Development (SD&D), and ADPACs in Audiology and Speech Pathology Service (ASPS) and Prosthetics and Sensory Aids Service (PSAS). Related Manuals Remote Order Entry System (ROES) Version 3.0 Security Guide Remote Order Entry System (ROES) Version 3.0 User Manual Remote Order Entry System (ROES) Version 3.0 Installation Guide Remote Order Entry System Version 3.0 Technical Manual iii Introduction The Remote Order Entry System (ROES 3.0) gives authorized end users at VHA facilities the ability to order ...

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Remote Order Entry System
(ROES)
Technical Manual
Version 3.0
October 2003
Department of Veterans Affairs
VistA Health Systems Design and Development
Revision History
September 16, 2003
September 18, 2003
October 20, 2003
Format manual and input revisions
Revised format
Revised base on NVS input
Loren Behuniak
Loren Behuniak
Loren Behuniak
Remote Order Entry System Version 3.0 Technical Manual
 Preface Purpose of the Remote Order Entry System The Remote Order Entry System Version 3.0 (ROES 3.0) gives authorized end users at VHA facilities the ability to order products and services from the VA Denver Distribution Center (DDC).
Scope of Manual This manual provides instructions for the installation and maintenance of the ROES 3.0 software.
Audience The information in this manual is intended for Information Resource Management (IRM) staff. However it may also be helpful to: NationalVistASupport (NVS), System Design & Development (SD&D), and ADPACs in Audiology and Speech Pathology Service (ASPS) and Prosthetics and Sensory Aids Service (PSAS).
Related Manuals Remote Order Entry System (ROES) Version 3.0 Security Guide Remote Order Entry System (ROES) Version 3.0 User Manual Remote Order Entry System (ROES) Version 3.0 Installation Guide
Remote Order Entry System Version 3.0 Technical Manual iii
Introduction The Remote Order Entry System (ROES 3.0) gives authorized end users at VHA facilities the ability to order products and services from the VA Denver Distribution Center (DDC). This manual provides information regarding the technical components of the ROES 3.0 software. The information in this manual is intended for IRM or equivalent staff who are responsible for the installation, maintenance, and support of the ROES 3.0 application and local facilityVistAand general IT resources. 
Purpose of ROES 3.0 ROES 3.0 was developed to simplify and enhance the ordering of products and services from the Denver Distribution Center (DDC) including hearing aids and numerous other commodities. Ancillary functions such as updating patient records and registering devices may also be done through the Web interface. ROES 3.0 is accessed from the end users workstation as a Web application through the browser allowing orders to be placed using an interactive, real-time, point and click interface. ROES 3.0 also accommodates keyboard navigation and entry. ROES 3.0 was designed to use advanced technologies and practices in software design, supporting hardware platform, database management, and network integration to provide DDC customers and staff with simple and easy to use ordering capabilities. The application provides patient care providers and associated Veterans Health Administration (VHA) staff with comprehensive patient information and order histories. It was also designed to use progressive procurement and distribution practices, advanced general business practices, and current VA Regulations, which have evolved since the introduction of ROES 2.0 A definitive criterion used to establish the strategic direction and development path for ROES 3.0 involved combining: and data communications capability with established VA systemsThe necessity to optimize compatibility and business practices The objective of applying leading edge information technology resources to strategic business systems development, comparable to the best that can be found in the private sector The desire to provide a "progressive continuity" to DDC customers, implementing significant enhancements to the existing application, while minimizing transition apprehension for end users
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Benefits of ROES 3.0 The ROES 3.0 application architecture makes available, for the first time, a Web-based application for activities such as order placement and inquiry functions, while retaining and improving upon the character-based interface formerly used in ROES 2.0. It is expected that a Web interface, enabling point-and-click functionality, allows information to be presented in a more organized fashion, enhancing the navigation and data entry procedures. In another departure from previous versions, the majority of ROES 3.0 system software and data files reside on DDC computer resources, leaving only selected key components on local Medical Center systems. There are a number of factors supporting this transition. These include: Assurance of a singularity and consistency of the available product database  Opportunity for immediate real-time processing of orders placed Reduced dependency on VAMC application of patches and file modifications Higher capacity VA wide area network resources implemented since ROES 2.0 enable these architectural changes. In addition to the overall architecture, ROES 3.0 provides a number of process-specific benefits, features, and functionality improvements, such as the following: 1. Provides users with a simplified ordering process. 2. Includes cost comparison functionality for display/selection of all contract hearing aids meeting selected specifications. 3. Allows repair orders to be entered by the provider. 4. Includes a module to enter audiometric data and display or print the resulting audiogram in graph or tabular format. 5. Provides information in "real time". 6. Provides enhanced commodity ordering capabilities. 7. Provides enhanced device registration capabilities. 8. Provides enhanced display/update capabilities for authorized aids. 9. Provides enhanced station stock ordering capabilities. 10. Decreases delivery time to patients since orders are submitted immediately for processing. 11. Links with the CPRS clinical record application already in place in the VHA environment. 12. Provides increased accuracy in patient eligibility determination prior to order placement, with improvements to subsequent reporting and statistical analysis.
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13. Provides access to multiple ROES 3.0 functions (clinical and administrative) through a comprehensive entry point.
14. Provides supervisory designation of user authorization/approval levels.
15. Provides a Cochlear Implant registry for tracking of cochlear implant information.
16. Reduces the likelihood of erroneous orders (i.e., orders for combinations of device specifications that cannot be accommodated by hearing aid manufacturers).
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Orientation General Rules for ROES 3.0 Data Entry pages 1. There are no "double clicks" in ROES 3.0. Click the selection one time only. 2. There are no "right mouse button commands in ROES 3.0. NOTE: There is a key distinction between Windows-based applications (where double-clicks and right-button functionality are common) and web applications. There will not be a noticeable consequence to the user for these actions; however, the results may be unexpected. Double clicking may cause a drop-down list to open and close quickly. Right-clicking will produce selectable functions made available by the browser, but nothing specific to ROES. We strongly discourage use of the right-click in order to prevent the use of the browser's back and forward functions. 3. It is recommended that users not click the "X" in the top right hand section of the ROES 3.0 browser window to close a window. Use the navigational links and buttons provided within the application to exit the system. Closing the browser window without properly exiting the application will not have any detrimental effects on the user but may leave an open user session and incomplete or 'phantom' order information in the application. 4. Only use the Back, Forward, or Exit command buttons provided on the ROES 3.0 pages for navigation -never use the windows provided "back" and "forward" commands. 5. The command buttons within the application perform background housekeeping functions that maintain the integrity of the order as a user navigates through the ordering process. The Windows browser's 'Forward' and 'Back' commands bypass those functions and could result in loss of information from the order. 6. Grayed out fields cannot be accessed. 7. Any Exit button will return you to theView OrderHistorypage. Symbols Used in Manual In code examples, the caret (^) or 'U' may be used interchangeably as separators. The caret is also used to designate a global reference when used in front of a global name as in "^DPT(".
ROES 3.0 Display Considerations IMPORTANT NOTE this is: ROES 3.0 application pages display best at a display resolution of 1024x768. If not an end user's preferred resolution, ROES pages will not appear properly formatted. This will not affect application functionality, but may make page content more difficult to understand and navigate. If an end user chooses to increase their resolution to 1024x768, they should be aware that all other Windows applications and objects in their Windows environment will be reduced in size.
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Recommended Desktop Minimums for ROES 3.0
Processor Memory Hard Drive Video CD-ROM Monitor LAN Interface Keyboard Mouse Operating System*
200 MHz 64 MB 4GB AGP 2x w/4MB 8x 17" VGA, .28 pixel resolution 10/100 Mbps Ethernet 101 -key Microsoft Compatible Microsoft Windows 9x Microsoft Windows NT Workstation v4.0 or Windows 2000 Pro strongly recommended. Browser**Internet Explorer v5 *NOTE: ROES 3.0 is compatible with Microsoft Windows XP. **NOTE: There are no minimum Browser Service Pack requirements. A system meeting the above specifications can be expected to provide the functionality necessary for ROES 3.0. The VA Assistant Secretary for Information and Technology has established a set of minimum configurations for any new procurement of desktop systems across the enterprise (VA Directive 6401). For most of the specifications listed above, the VA minimum baseline exceeds the recommended minimum for ROES 3.0. The above specifications are provided to allow for use of equipment in current inventory, if necessary. In assessing procurement and/or other resource acquisition actions to meet ROES 3.0 desktop requirements, each facility is advised to give consideration to the specifications mandated by the above-mentioned Directive. Conformance with these established and/or emerging VA standards is encouraged. A dynamic update of the VA desktop standards is maintained athttp://vaww.vairm.vaco.va.gov/vadesktop/.
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Getting Additional Information
Refer to the following resources for additional information about the Remote Order Entry System (ROES).
 
 
 
 
 
Visit theVistAdocument library:http://www.va.gov/vdl/for the ROES 3.0 PDF and WORD documentation.
Use theKIDS Build File Print[XPD PRINT BUILD] option if you would like a complete listing of package components exported with this software.
Use theKIDS Install File Print[XPD PRINT INSTALL FILE] option if you'd like to print out the results of the installation process.
Use theList Routines[XUPRROU] option prints a list of any or all of the ROES 3.0 routines.
The Installation and User manuals also contain additional information.
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Chapter 1: Implementation and Maintenance
Application Architecture Overview ROES 3.0 includes application components that reside on two systems: the VAMCVistAsystem and the DDC system. The VAMC components include M routines, RPC Broker calls, and Delphi executables. The general purpose of these components is to gather information and initiate an interactive session to the DDC-resident ROES 3.0 Web application, passing the assembled information to the application. Once in the Web application, ROES users then place orders and perform other order management functions within that application. Different capabilities within ROES 3.0 are invoked by each of two Delphi executables. One executable and associated set of broker calls integrates as an option on the CPRS Tools menu (see alsoChapter 3:Charts). This set of components performs the following functions: Gatherspatient informationfor the selected patient Determines or initiates a request for determination of the patients eligibility for DDC services Assembles patient and user information Initiates a browser session3.0 Web application and passes the assembled information to ROESto the ROES Allows for copying of specified order information to the Windows clipboard with subsequent pasting to a CPRS Progress Note or to an external application The second combination of Delphi executable and associated set of broker calls comprises an executable application that can be invoked directly (separate from CPRS) or from an application shortcut, and performs the following functions (see alsoChapter 3:Charts): Assembles user information Initiates a browser session to the ROES 3.0 Web application and passes the assembled information to ROES 3.0 The DDC-resident component of ROES 3.0 exists as a Web-based order entry application. The interactive order entry process utilizes the browser as the application interface. Depending on which of two ROES 3.0 entry points is accessed (determined by the calling Delphi executable), end users have access to specific functional modules associated with the entry and management of orders for DDC products and services. Navigation and order entry is accomplished using typical Windows and Web methods, including drop-down selection, check boxes, radio buttons, free text, etc. Information entered in the Web application is processed by the DDC order fulfillment system.
Overview of Installation Instructions Implementation of ROES 3.0 requires both server-sideVistAinstallation procedures and client-side desktop installation procedures. The ROES 3.0 distribution package includes a KIDS build. The KIDS build installs the necessary routines, menu options, and RPC broker calls within theVistAenvironment. The ROES 3.0 GUI requires that the RPC Broker V1.1 be installed on any workstation from which the GUI will be executed. Refer to the RPC Broker Website:http://vista.med.va.gov/broker/download.aspto install the RPC Broker.
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NOTEvia CPRS, BCMA, or PCMM, then the RPC: If a workstation can already connect successfully Broker has already been installed.
Refer to theROES 3.0 Installation Guidefor complete installation instructions.
Companion QUASAR Patch
IMPORTANT NOTEDDC ROES 3.0 order processing incorporates patient-specific audiometric information: from the Quality: Audiology and Speech Pathology Audit and Review (QUASAR) package. A companion QUASAR patch (ACKQ*3.0*3) provides end users with data entry and display capabilities for this information. It is recommended that ACKQ*3.0*3 be installed concurrently with ROES 3.0.
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